1. Presentation on Projects 1 & 2, Basic FETP Liberia
Obediah R. Gweh
Cohort 1 Trainee
Saclepea Mah District
Nimba County

2. Acknowledgement I will like to acknowledge Ministry of Health, Liberia
AFENET
Emory University
US CDC
WHO
My mentors ( Justin and Dr Peter)

3. Expanded Surveillance Summary Report on Week 31- 42
During the weeks under review, there were
Thirty-Four cases of Acute Watery Diarrhoea(AWD)
Thirty-Four Measles cases
Four hundred and Ninety-four EVD cases
Eighty- eight Bloody Diarrhea

4. Fig 2.1:Timeliness and Completeness of Reporting, Week 31-42, 2015, Saclepea Mah District, Nimba County
HEALTH FACILITY
WK 31
WK 32
WK 33
WK 34
WK 35
WK 36
WK 37
WK 38
WK 39
WK 40
WK 41
WK 42
% Timeliness WK 31-42
% Completeness WK 31-42
SCHC T L 92
100
Kpaytuo 83
Sac ULIC
Cocopa
Karnwee
Flumpa
Flumpa Ulic
Beindin
Legend T
ON Time L
Late NR
No report
% Cumulative
>80%
On Time
>50% - 80% On Time
< 50 % On Time

5. Fig 2.2:Timeliness and Completeness of Reporting, Week 31-42,2015, Saclepea Mah District, Nimba County
HEALTH FACILITY
WK 31
WK 32
WK 33
WK 34
WK 35
WK 36
WK 37
WK 38
WK 39
WK 40
WK 41
WK 42
% Timeliness WK 31-42
% Completeness WK 31-42
DMC T L 92
Kpein 83
100
Bunadin
Dou
Duayee
Zahn Bahnla
Tunukpuyee T
ON Time L
Late NR
No report
% Cumulative
>80%
On Time
>50% to 80% On Time
< 50 % On Time
Legend

6. Timelines and Completeness of Reporting Week 31-42, 2015, Saclepea District, Nimba County
Percentages
Percentages
Health Facilities
Health Facilities

7. Summary of Key Priority Diseases Week 31-42, 2015, Saclepea Mah District, Nimba
Cases
Death
Case Facility rate %
AFP 0%
AWD 34
Cholera
Lassa Fever
Neonatal Death
Maternal Death
Measle
Meningitis
VHF
Neonatal tetanus
EVD
494
Human Rabies
Bloody diarrhea 88

8. No of Cases
Weeks

9. No of Cases
Weeks

10. Public Health Action Investigated measles outbreak
Coordinated in mass measles campaign in Kayptuo community
Attended IDSR training
Ensured health workers in my district attend IDSR training
Gave feedback to OIC on result of measles infection test

11. Suspected Measles Outbreak Investigation, Kpaytuo Community, Saclepea District

12. Introduction Measles is highly contagious
Attack rate in a exposed individual is 90%
Transmission occurs person to person
On the 15th of October, 2015 we got a call from Kpaytuo Health center of 5 cases of suspected measles. We investigated to
Establish if there was an outbreak
Verify the outbreak
Carry out active case search
Commence response

13. Methods Kpaytuo community, has a population of 4,676
One health facility
A case was defined as any person with high fever and rashes with or without running nose, eye red and cough, between 1st October and 17th October, 2015
The team carried out
One on one interview
Active case search in the community
Collected blood specimen from 5 active cases

14. RESULTS
Of the 22 cases
13 (59%) were females
Median age is 13 (2-37)years
No death
Attack rate 47/10,000 population
2 (9%) were fully vaccinated
Index case is a 15year old farmer, with no history of recent travels(his son became infected)
All 5 blood specimen were positive for measles
Two-day selective measles vaccination was done

16. Discussion The outbreak was confirmed It affected females more
Most of the cases have never been immunized
Seems to have subsided (no new cases have been identified)
Health education seems to be effective in curbing the spread of the disease